Method of modifying the gingival part of a virtual model of a set of teeth

ABSTRACT

Disclosed is a method of generating and modifying a virtual model of a set of teeth, where the method provides that a restoration can be inserted into a physical model of the set of teeth manufactured from the virtual model of the set of teeth.

This invention generally relates to a method of and a system forgenerating a virtual model of a set of teeth for manufacturing aphysical model of the set of teeth, and to a physical model of a set ofteeth.

The invention may be used for instance in relation to dental implantsand other applications where a restoration is to be inserted into agingival part of a physical model of the set of teeth.

When designing a dental restoration for a patient, a dental technicianoften uses a physical model of the patient's set of teeth. In many casesit is preferred that the designed restoration, such as an abutment andthe corresponding crown or bridge, is shaped such that it gentlydisplaces a portion of the patient's gingiva. When a physical model ofthe patient's set of teeth is made in a material which is not easilydisplaced/deformed by the dental technician, such a design of therestoration will result in that the restoration cannot be inserted intothe physical model of the patient's set of teeth.

Disclosed is a method of generating and modifying a virtual model of aset of teeth, said set of teeth comprising a region configured forinsertion of a restoration, the region being located in a gingival partof the set of teeth, where the method comprises:

-   obtaining at least one three dimensional representation of the set    of teeth;-   generating a virtual model of the set of teeth from said three    dimensional representation, where the virtual model of the set of    teeth comprises a gingival part, said gingival part comprising a    virtual region corresponding to said region configured for insertion    of a restoration and at least part of the gingiva surrounding said    region;-   obtaining a virtual model of said restoration; and-   modifying the gingival part of the virtual model of the set of teeth    such that the virtual model of the restoration can be virtually    inserted into said virtual region with no overlap between the volume    of said virtual model of the restoration and the volume of said    gingival part of the virtual model of the set of teeth.

At least a portion of the gingival part of the virtual model of the setof teeth may correspond to the gingival part of the patient's set ofteeth.

Disclosed is a method of generating a virtual model of a set of teethfor manufacturing a physical model of the set of teeth, where the methodcomprises:

-   obtaining a three dimensional representation of the set of teeth;-   obtaining a virtual model of a restoration, where at least a    sub-gingival part of the virtual model of the restoration is    configured to have the shape of an anatomically correct restoration;    and-   generating a virtual model of the set of teeth from said three    dimensional representation, the virtual model of the set of teeth    comprising a gingival part, where the gingival part comprises a    gingiva and a region configured for insertion of a restoration, and    where the gingival part is configured to provide that when the    restoration is inserted in said region the volume of the restoration    and the volume of the gingival part do not overlap.

In the context of the present invention, the phrase “sub-gingival partof” used in relation to the restoration may refer to the portion of therestoration which resides below the surface of the gingiva when therestoration is inserted in the virtual or physical model of the set ofteeth. The sub-gingival part may be the portion of the restorationarranged below the margin line when the restoration is inserted in thegingival part of the model of the set of teeth.

The sub-gingival part of the restoration may take in different shapes.In some embodiments, the sub-gingival part of a restoration has a crosssectional dimension which changes along the longitudinal direction ofthe restoration.

The cross sectional dimension of the sub-gingival portion of therestoration may increase towards a margin line of the restoration, suchthat the diameter of the restoration at the margin line is larger thanthe diameter further below the surface of the gingival part. The crosssectional dimension may be the diameter or area of the restoration in across sectional plane which may be perpendicular with the insertiondirection of the restoration.

The method may in general relate to a gingival part which is configuredto provide that when a restoration is inserted in a region of thegingival part, the volume of the restoration and the volume of thegingival part do not overlap.

The virtual model of the restoration may comprise the entire restorationor a part of the restoration.

In some embodiments, the gingival part of the virtual model generatedfrom the three dimensional representation directly provides that thevolume of the restoration and the volume of the gingival part do notoverlap. This may be the case e.g. when the method provides that thegingival part is configured for insertion of the restoration in the samestep as the virtual model is generated from the three dimensionalrepresentation.

In some embodiments, the virtual model of the set of teeth is generatedin one step and where the gingival part of the virtual modelsubsequently is modified to provide that the volume of the restorationand the volume of the gingival part do not overlap. This may be the casee.g. when the method provides that the gingival part is configured forinsertion of the restoration after the virtual model is generated fromthe three dimensional representation.

In some embodiments, the gingival part of the virtual model of the setof teeth is modified to provide that the adjoining surfaces of thevirtual model of the restoration and the gingival part of the virtualmodel of the set of teeth follow each other.

In some embodiments, an offset is provided between the adjoiningsurfaces of the virtual model of the restoration and the gingival partof the virtual model of the set of teeth. The offset may besubstantially uniform over a part of said sub-gingival part of therestoration.

In the context of the present invention, the phrase “adjoining surfaces”may be used in relation to virtual surfaces which are adjoining e.g.when the virtual model of the restoration is arranged in its anatomicalcorrect position relative to the virtual model of the set of teeth. Thephrase may also be used in relation to the surfaces of a restorationformed from the virtual model of the restoration when this arranged at aphysical model of the set of teeth.

In some embodiments, modifying the gingival part of the virtual model ofthe set of teeth comprises digitally cutting a portion of the gingivaaway such that the volume of the restoration and the volume of thegingiva do not overlap. The digital cutting away may correspond to aremoval of material from a physical model of the set of teeth.Preferably, the digitally cutting away is made with the virtual model ofthe restoration virtually arranged in the gingival part of the virtualmodel of the set of teeth.

One advantage that may be provided by the present invention is thepossibility of digitally combining a restoration with a gingival part ofa virtual model of a set of teeth, where the anatomically correct shapeof the restoration is taken into account.

One advantage that may be provided by the present invention is that aanatomically correct restoration can be inserted into a physical modelmanufactured from a virtual model of the set of teeth generated usingthe method according to the present invention. The restoration may bearranged in its anatomically correct position and at the anatomicallycorrect orientation relative to the gingival part and any neighboringteeth in the model. This may allow e.g. a dental technician to test theform and arrangement of the actual restoration in a physical model ofthe set of teeth.

Disclosed is a method of generating and modifying a virtual model of aset of teeth for manufacturing a physical model of the set of teeth,where the method comprises:

-   obtaining a three dimensional representation of the set of teeth;-   generating a virtual model of the set of teeth from said three    dimensional representation, the virtual model of the set of teeth    comprising a gingival part comprising a gingiva; and-   modifying the gingival part to enable insertion of a restoration in    a region of the virtual model configured for insertion of a    restoration. Disclosed is a method of generating a virtual model of    a set of teeth for manufacturing a physical model of the set of    teeth, where the method comprises:-   obtaining a virtual model of the set of teeth, the model comprising    a gingival part comprising a gingiva; and-   obtaining a virtual model of a restoration configured to be arranged    in its anatomical correct position relative to said gingival part of    the model;    where the surface of the gingiva defines a first surface at said    restoration; and-   modifying the gingiva at said restoration such that the surface of    the modifying gingiva defines a second surface at said restoration,    wherein the second surface is configured to avoid an overlap between    the volume of the restoration and the volume of the gingival part of    the model.

Disclosed is a method of adjusting a virtual model of a set of teeth,where the virtual model of the set of teeth is for manufacturing aphysical model of the set of teeth, where the method comprises:

-   obtaining a pre-adjustment configuration of a virtual model of the    set of teeth, the virtual model of the set of teeth comprising a    gingival part; and-   obtaining a virtual model of a restoration configured to be arranged    in its anatomical correct position relative to said gingival part of    the model, where the volume of the gingival part of the virtual    model of the set of teeth and the volume of the restoration overlaps    when the restoration is arranged in the anatomical correct position;    and-   adjusting a portion of the gingival part of the virtual model of the    set of teeth arranged at said restoration providing a    post-adjustment configuration of the virtual model of the set of    teeth, in which post-adjustment configuration the gingival part of    the model is configured to avoid overlap between the volume of the    virtual model of the restoration and the volume of the gingival part    of the model of the set of teeth.

Disclosed is a method of adjusting a virtual model of a set of teeth,where the virtual model is for manufacturing a physical model of the setof teeth, where the method comprises:

-   obtaining a pre-adjustment configuration of a virtual model of the    set of teeth, the model comprising a gingival part; and-   adjusting a portion of the gingival part of the model arranged at    said restoration providing a post-adjustment configuration of the    virtual model of the set of teeth, in which post-adjustment    configuration the gingival part of the model is configured to avoid    overlap between the volume of a restoration configured to be    arranged in its anatomical correct position in the gingival part of    the model.

In some embodiments, the adjusting of the gingival part comprisesconfiguring the shape of the gingival part such that the overlap betweenthe volumes is avoided.

In some embodiments, the method comprises configuring the material ofthe gingiva at the restoration to be sufficiently soft such that arestoration may deform the gingival part. This may be done by removingrelative harder material from a physical model of the set of teeth andreplacing it by a relative softer material, such as replacing gypsumwith a dental silicone material.

Disclosed is a method of generating a physical model of a set of teeth,where the method comprises:

-   obtaining at least one three dimensional representation of the set    of teeth;-   generating and modifying a virtual model of the set of teeth from    said at least one three dimensional representation, the virtual    model of the set of teeth comprising a gingival part; and-   modifying the gingival part to enable insertion of a restoration in    a region of the virtual model of the set of teeth configured for    insertion of a restoration.-   manufacturing said physical model from said virtual model of the set    of teeth.

In some embodiments, the method comprises configuring the gingival partto avoid an overlap with a restoration when the restoration is insertedin the model. Such an overlap may make it difficult or even impossibleto arrange the restoration in its anatomical correct position in thegingival part of the model.

Disclosed is a physical model of a set of teeth, wherein the physicalmodel is manufactured from a virtual model generated by the methodaccording to the present invention.

In the context of the present invention, the phrase “a restoration” mayrefer to a full dental restoration or a part of a restoration, such asan abutment or a crown arranged on said abutment. An abutment may be acutmized abutment or a stock-abutment.

At least one step of the method is computer implemented. In someembodiments at least the generating and modifying of the virtual modelof the set of teeth is computer implemented.

In some embodiments, a first three dimensional representation of the setof teeth is obtained by scanning the patient's set of teeth with a scanbody arranged in said implant region. Data relating to the scan body mayhence become part of the virtual model of the set of teeth.

In some embodiments, said virtual model of the set of teeth is generatedat least in part from said first three dimensional representation. Thevirtual model of the set of teeth may thus comprise a sectioncorresponding to the gingival part of the set of teeth.

In some embodiments, a second three dimensional representation of theset of teeth is obtained by scanning the patient's set of teeth with theemergence profile at said implant region being visible. In this case,may data relating to the emergence of the gingiva be derived or becomepart of a virtual model of the set of teeth.

In some embodiments, said virtual model of the set of teeth is generatedat least in part from said second three dimensional representation. Thevirtual model of the set of teeth may then comprise a sectioncorresponding to the gingival part.

In some embodiments, one of said first or second three dimensionalrepresentation of the set of teeth is obtained by scanning a relativelylarger section of the patient's set of teeth, and the other of saidfirst or second three dimensional representation then is obtained byscanning a relatively smaller section around the implant region.

In some embodiments, the method comprises generating a first virtualmodel of the set of teeth from said first three dimensionalrepresentation of the set of teeth.

In some embodiments, the method comprises generating a second virtualmodel of the set of teeth from said second three dimensionalrepresentation of the set of teeth.

In some embodiments, the method comprises combining the first and secondvirtual models of the set of teeth to generate said virtual model of theset of teeth. Such a virtual model of the set of teeth may then compriseboth the emergence profile and data relating to the implant position andorientation.

In some embodiments, a virtual model of the scan body is provided andvirtually aligned with the first virtual model of the set of teeth todetermine the orientation and position of the implant.

In some embodiments, the restoration is designed based on the virtualmodel of the set of teeth.

In some embodiments, the restoration is a pre-manufactured restorationsuch as a pre-manufactured abutment.

In some embodiments, the modified virtual model of the set of teeth isfor manufacturing a physical model of the set of teeth.

In some embodiments, at least a sub-gingival part of the virtual modelof the restoration is configured to have the shape of an anatomicallycorrect restoration.

The region of the virtual model configured for insertion of arestoration may comprise a region of the gingival part configured tocomprise an implant analog, a hole, a healing abutment, a scan-body orin principle any dental indication. The region may be bounded by an areaof the gingiva surface having a circumference which is bounded partly bythe nearest neighbor teeth.

In some embodiments, the method comprises configuring the gingiva maskto comprise an opening, where the opening is configured to allow arestoration to access the gingival part arranged below the gingiva mask.

In some embodiments, a virtual hole is provided in said gingival part ofthe virtual model of the set of teeth.

The virtual hole may be such that a corresponding hole in the physicalmodel of the set of teeth is configured to mate with a part of saidrestoration configured to fit into the gingival part of the physicalmodel of the set of teeth. The virtual hole may be configured to allowan implant analog to inserted manually in the corresponding hole of thephysical model of the set of teeth.

The virtual hole and/or said implant analog may be configured such thatsaid the implant analog can be inserted only in the correct anatomicalposition and orientation in the gingival part of the model.

The opening of the gingiva mask may be aligned with an implant analogarranged in the gingival part below the gingiva mask In someembodiments, the implant analog is configured to have a shape withreduced cross sectional rotation symmetry, such as an N-fold symmetry,wherein N is an integer number below 25.

The implant analog may have no rotation symmetry in its cross sectionalplane.

In some embodiments, the gingival part of the virtual model of the setof teeth is configured to provide that a corresponding ejection hole inthe physical model of the set of teeth is in fluid connection with saidhole such that a restoration or an implant analog can be accessedthrough said ejection hole to be ejected from the gingival part of thephysical model of the set of teeth.

In some embodiments, the implant analog is configured to comprise a stopsection with a smaller cross sectional area at its distal end, said stopsection preferably being arranged centrally around the longitudinal axisof the implant analog.

In some embodiments, the implant analog is configured to comprise a stopsurface at its distal end, said stop surface preferably being arrangedcentrally around the longitudinal axis of the implant analog.

In some embodiments, the stop surface is reduced in size/diametercompared to other parts of the implant analog to provide that space isprovided for rounded corners of the hole side wall.

The virtual hole defined in the gingival part of the virtual model ofthe set of teeth may be configured to provide that the correspondinghole in the physical model of the set of teeth has rounded edges at itsdistal end or at any kink along the longitudinal direction of the hole.

In some embodiments, a height inspection groove is defined in theimplant analog to allow for a visually or a contact based inspection ofwhether the implant analog is arranged in the correct postion in thegingival part of the model.

The height inspection groove may extend around the entire circumferenceof the implant analog forming a band shaped height inspection groovewhich can be seen from all directions in a cross sectional planeintersecting the height inspection groove.

A window or a through hole may be provided in the ginival part to allowvisual and/or physical contact to the inplant analog from the outside ofthe model. The window or through hole may be provided in the virtualmodel or after the manufacturing of the physical model.

In the context of the present invention, the phrase “below” is only usedto describe the relative orientation of the parts of the model and doesnot present a limitation on which part is closer to the ground than theother parts. One part being below another part may be used to describean arrangement of the parts relative to the occlusion plane of a set ofteeth.

The phrase “below” may be used to describe that a sub-gingival part of avirtual model of a restoration is arranged behind the surface of thegingival part relative to a viewpoint situated at a positioncorresponding to the center of a patient's mouth. That is, in apatient's mouth the object which is arranged below the surface of thegingival part of the set of teeth may not be visible.

In the context of the present invention, the phrases “proximal end” and“distal end” may refer to two opposite ends of a e.g. a holed in thegingival part of the model, where the distal end may refer to the partof said hole which is the furthest away from the entrance of the hole.The distal end may also be referred to as the bone end.

In some embodiments, the virtual model comprises a restorationconfigured to be inserted in the virtual model at the region configuredfor insertion of a restoration.

In some embodiments, the restoration comprises a full restoration or apart of a restoration, such as an abutment or a crown arranged on saidabutment, an implant bar, or in principle any other indication used inrelation to dental restorations.

In some embodiments, restoration is to be arranged in its anatomicalcorrect position relative to said gingival part of the model.

In some embodiments, configuring the gingival part provides that therestoration can be positioned in a physical model manufactured from thevirtual model, the restoration even in the case where the surface of thegingival part of the virtual model generated from three dimensionalrepresentation and an adjoining surface of the restoration overlaps.

In the context of the present invention, the phrase “the model” may beused in relation to both the physical and the virtual manifestation ofthe set of teeth. In some embodiments, there is a one-to-onerelationship between the virtual model and the physical model of the setof teeth.

In some embodiments, configuring the gingival part comprises modifyingthe gingival part of the virtual model generated from the threedimensional representation.

The virtual representation of the set of teeth may be provided byscanning the set of teeth, such as by scanning the set of teeth by meansof an intraoral scanner or by scanning an impression of the set ofteeth.

In some embodiments, a unit, such as a healing abutment, a scan-body oran implant analog, is arranged in the region configured for theinsertion of a restoration during the scanning of the set of teeth. Thegenerated virtual model of the set of teeth may hence show such a unit.The method may comprise digitally removing this unit from the virtualmodel or it may comprise generating a virtual model of the set of teethwhere such a unit is not part of the virtual model.

In some embodiments, configuring the gingival part comprises configuringthe material of the gingival part at the restoration to be sufficientlysoft such that a restoration may deform the gingival part. In a physicalmodel manufactured from the virtual model, the material may besufficiently soft such that an operator, such as a dental technician,may arrange the restoration in its anatomical correct postion withouthaving to use excessive force.

In some embodiments, configuring or modifying the gingival partcomprises virtually removing a portion of said gingival part in theregion configured for insertion of a restoration.

The configuring the gingival part of the model may comprise digitallycutting a portion of the gingiva away such that the volume of therestoration and the volume of the gingiva do not overlap.

After a removal of material from the model, the gingival part in aphysical model manufactured from the virtual model is configured tofollow the adjoining surface of the restoration such that a correctpositioning of the restoration is enabled. This may correspond tocutting the gingiva to the restoration, i.e. that the gingival part ofthe model adapts to the restoration. In this embodiment, the entiregingival part of the model may be manufactured in a relatively hardmaterial since there is no overlap between the volumes of the gingivalpart of the model and the restoration when the latter is positionedcorrectly in the model.

In the context of the present invention, the phrase “to follow theadjoining surface of the restoration” may refer to the case therestoration is arranged in relation to the gingival part such that atleast a part of the sub-gingival portion of the restoration has asurface which is substantially parallel to the adjoining surface of thegingival part. The adjoining surfaces of the sub-gingival portion of therestoration and the gingival part may be spaced apart by a substantiallyconstant distance over a least part of their common area, such thatthere is a substantially constant offset between the sub-gingivalportion of the restoration and the gingival part over that area. Theadjoining surfaces may be taken to be the area of the side-walls of ahole in the gingival part, where said hole is configured for theinsertion of a restoration. The side walls may be the surface of such ahole that is located along the direction of insertion of the restorationinto the gingival part.

In some embodiments, the method comprises virtually adding material tothe gingival part of the virtual model in the region configured forinsertion of a restoration. The virtual addition of the material mayoccur after a virtual removal of material in the region configured forinsertion of a restoration.

In some embodiments, the gingival part of the virtual model of the setof teeth defines a first surface at the region configured for insertionof a restoration.

In some embodiments, the first surface follows at least a section ofsaid emergence profile of the gingiva in the region.

In some embodiments, modifying the virtual model of the set of teethcomprises replacing said first surface by a second surface, where saidsecond surface is shaped such that the virtual model of said restorationcan be virtually arranged in said virtual implant region with no overlapwith the modified virtual model of the set of teeth.

In some embodiments, at least a section of said second surface isdefined by offsetting part of the surface of the virtual model of therestoration. The offset may be such that the second surface encloses thesurface of the virtual model of the restoration.

In some embodiments, the method comprises subtracting the virtual modelof the restoration or the volume enclosed by the offset surface from thevirtual model of the set of teeth. The second surface may then beidentical to or be based on the virtual surface of the gingival partfrom which a volume is subtracted.

In some embodiments, the gingival part of the virtual model of the setof teeth after the virtual removal of a portion of the gingiva definesthe second surface at the region configured for insertion of arestoration. The second surface may be referred to as a cutting surface.Cutting the gingival part at the second surface may correspond tocutting the gingival part to the restoration.

In some embodiments, the gingival part of the virtual model of the setof teeth after virtually adding material to the gingiva defines a thirdsurface at the region configured for insertion of a restoration.

The third surface may be substantially identical to said first surface.

The first, second and third surfaces are provided on the virtual modelof the set of teeth. In a virtual model, the surfaces may be defined asa result of the generation of the gingival part of the model. In aphysical model, the surfaces may be realized when the volume of thegingival part of the model is manufactured.

In some embodiments, the gingival part of the virtual model of the setof teeth is divided into a first and a second gingival region by thesecond surface, where said second gingival region is arranged betweenthe second surface and the third surface, the second surface forming aninterface between the first and the second gingival region.

The first gingival region may be configured to be manufactured in afirst material in a physical model manufactured from the virtual model.

In some embodiments, the method comprises manufacturing the physicalmodel of the set of teeth such that the portion of the physical modelcorresponding to the first gingival region of the virtual model of theset of teeth is manufactured in a first material.

The second gingival region may be configured to be manufactured in asecond material in a physical model manufactured from the virtual model.

In some embodiments, the method comprises manufacturing the physicalmodel of the set of teeth such that the portion of the physical modelcorresponding to the second gingival region of the virtual model of theset of teeth is manufactured in a second material.

In some embodiments, the second material is configured to be softer thanthe first material at ambient conditions. The indention hardness of thesecond material may be smaller than that of the first material.

The second material is configured to be comprised in a removable unit ina physical model manufactured from the virtual model. The addition ofmaterial to the gingival part of the model may comprise generating agingiva mask.

The gingiva mask may be produced in a relatively hard material and maybe moved before arranging the restoration in the model such that anoverlap between the gingival part and the restoration may be avoided byremoving the gingiva mask before positioning the restoration.

The gingiva mask may be configured to comprise a first retentionstructure configured to mate with a second retention structure arrangedon the gingival part of the model, such that the gingiva mask isarranged correct when said first and second retention structures mate.

In some embodiments, the gingival part of the model comprises anundercut region, in which said second gingival region is partlyconfined.

In some embodiments, a void is provided between the adjoining surfacesof the restoration and the gingival part of the model.

In some embodiments, the method comprises that the teeth of the modelare manufactured in a relatively harder, less flexible material and atleast the gingival of the model around the restoration is manufacturedin a relatively softer, more flexible material.

It may be an advantage to manufacture the teeth of the model in arelatively harder material and the gingival part of the model in arelatively softer material, because then the different materialsresemble the real materials in the mouth, and this facilitates thetesting or modeling of the restoration.

The second material may be configured to be softer than the materialused to manufacture the restoration.

The material of the physical model may be gypsum which often is used forphysical models of teeth, or a relatively harder material used for 3Dprinting of a physical model. The second material may be a softer andmore compressible dental silicone.

Disclosed is a cover for enclosing a volume in cooperation with aphysical model of a set of teeth, where said cover is for use whenfilling said volume with a second gingival material, said covercomprising

-   an implant engaging portion;-   a top portion comprising a model facing surface and a through    channel,

where one part of the model facing surface is configured for contactingthe physical model of the set of teeth and and second part if configuredfor enclosing said volume in collaboration with the surface of thephysical model, and where said through channel provides a liquidconnection to the enclosed volume.

In some embodiments, the method comprises providing a cover which incooperation with the first gingival region is configured to enclose thesecond gingival region.

The cover may comprise an opening configured to allow the injection ofsaid second material into said second gingival region in a physicalmodel manufactured from the virtual model of the teeth.

The cover may be configured to have a surface facing said secondgingival region, which surface may be shaped as said third surface.

When the cover is arranged in relation to the physical model, the modelfacing surface defines the surface of the second gingival region whenthe enclosed volume between the cover and the physical model is filledwith a material which is sufficiently soft and compressible such that anoperator with reasonable effort can deform it by pressing therestoration into the material. The cover defines said third surface.

In some embodiments, the implant engaging portion of the cover isdimensioned according to the implant analog in the physical model.

In some embodiments, the model facing surface of the cover is linked tothe abutment, such that for a particular abutment, the surface is suchthat the generated third surface is shaped according to thecorresponding surfaces of the abutment.

In some embodiments, the method comprises designing and configuring themodel to be manufactured by means of a specific manufacturing process.

In the context of the present invention, the phrase “cross sectional”may refer to a plane which is perpendicular to the longitudinaldirection. The cross sectional shape of e.g. an implant analog elementmay be the shape of the implant analog in such a plane intersecting thebase.

In some embodiments, the model comprises two or more restorations. Themethod according to the present invention may evidently be applied toany number of restorations in a set of teeth, such as two, three, fouror more restorations.

In some embodiments, the method comprises obtaining a virtualrepresentation of a set of teeth and forming a virtual model of said setof teeth from said virtual representation.

In some embodiments, the virtual representation of the set of teeth isprovided by scanning the set of teeth by means of an intraoral scanneror by scanning an impression of the set of teeth. The virtualrepresentation of the set of teeth may comprise a point cloud.

Thus the virtual model and afterwards the physical model may be createdbased on scanning e.g. an impression instead of e.g. creating a model bycasting the model from an impression. An advantage of this embodiment isthat better accuracy is obtained, because the impression itself isscanned instead of scanning a casted or poured model, in which defectsmay have emerged, when making the model. Furthermore, it may be anadvantage that the manual and time consuming work of making the model ingypsum from the impression is avoided. Thus this embodiment provides asimpler and possibly faster and cheaper process.

A reason for manufacturing a physical model from the impression is thatdental technicians may prefer to have a physical model to work with whenthey adapt the dental restoration(s) for a patient.

The impression can then be scanned to create a representation of boththe lower and upper part of the jaws. Thereby the virtual model isautomatically generated in software based on the scanning of theimpression.

In some embodiments, the method comprises removing further portions ofthe model corresponding to the gingiva, such that it becomes easier fora user to take e.g. an implant analog out of the physical model.

In some embodiments, the method comprises applying a scan of the entireset of teeth so that the antagonist is visualized, and providing avirtual articulator, so that the entire set of teeth can be occlusiontested.

In some embodiments, the method comprises manufacturing the physicalmodel by means of three dimensional printing or milling.

Examples of 3D printing or milling are:

-   inkjet-like principle, where it is possible to manufacture the outer    part of the physical model in a high quality and/or an expensive    material, and the inner part can be manufactured in a cheaper    material, such as e.g. wax;-   standard 3D printing;-   standard 3D milling;-   steriolithography (SLA), which is a type of rapid prototyping    process;-   selective laser sintering (SLS), which is a type of rapid    prototyping process.

In some embodiments, the method comprises designing and adapting themodel to be manufactured by means of a specific manufacturing process.For example different materials can be chosen for manufacturing of thephysical model.

In some embodiments, the restoration or a unit which the restoration isa part of, is manufactured such that the restoration is positioned inthe physical model corresponding to the position of the real, anatomicalteeth in the mouth of the patient.

In some embodiments, the correct anatomical position of the restorationis with regard to the height relative to the model, with regard to thehorisontal position which can be controlled by ensuring that therestoration cannot rotate when placed in the model.

When the restoration is arranged to have an anatomical correct heightrelative to the gingival part of the model, a crown of the restorationmay be arranged correctly relative to the horizontal plane of the teethmodel.

The physical model of the set of teeth may be used by a dentaltechnician to build up a model of the restoration, which may be known asthe wax modulation. The model of the restoration or the wax modulationmay then be used to cast the actual restoration, which is for examplemade of a metal material, such as a metal crown with procelainveneering.

The physical model may be used to check whether a manufacturedrestoration actually fits the physical restoration in the physicalmodel.

Even if the restoration is produced by CAD/CAM, it is still advantagousto check that the produced restoration has a correct fit by checking therestoration on the physical model. There are several steps in themanufacturing process, so potentially something could go wrong in one ofthe steps, and then it is better that the dental technician discoversand corrects a fault before the restoration is send to the dentist andinserted in the patient's mouth.

If the restoration is produced from a material which can change shape orsize, e.g. zirconium dioxide also known as zirconia, it is also anadvantage to check the restoration after production, because thematerial may then shrink or become crooked during and/or after theheating process.

If the restoration is produced manually and/or when the porcelain workon the restoration is performed manually, then the dental technicianneeds a model of the other teeth in the set of teeth to check that thereis space enough between the neightbor teeth for the restoration and thatthe shape of the porcelain match the neighbor teeth.

If the model is manufactured by 3D printing, many models can bemanufactured simultaneously compared to e.g. manufacturing by milling.

In some embodiments, the method comprises digitally repositioning thegingival part of the model around the restoration, such as digitallyrepositioning the gingival part before manufacturing the physical modelof the set of teeth.

This repositioning may be an advantage because often it is a problemthat when a tooth is prepared in the mouth of the patient, then so muchof the tooth is grinded away, whereby the soft, compliant gingivaltissue around the prepared tooth will adjoin or follow or collaps to thenew reduced shape of the prepared tooth instead of remaining in theoriginal shape following the non-prepared tooth. So when e.g. theimpression of the prepared tooth is made, then the gingiva is adjoiningthe prepared tooth and the manufactured model of the teeth will thenhave a gingiva adjoining the restoration, and thus there may be no spacebetween the gingival and the restoration to model and place arestoration. But when repositioning, removing, or relocating thegingival part of the model around the restoration then there is spacefor the restoration and the veneering, e.g. porcelain, which the dentistmay add after having inserted the restoration in the mouth of thepatient.

In some embodiments, digitally repositioning the gingival part of themodel comprises digitally moving the gingival part of the model awayfrom to the restoration.

The digital repositioning the gingival part of the model may comrisemoving the gingiva adjoining the restoration.

In some embodiments, digitally repositioning the gingival part of themodel comprises digitally moving the gingival part of the model outwardsrelative to the restoration.

It may be an advantage that the gingival part of the model may be movedwithout changing the size of gingiva, which is important since thegingival in the mouth of the patient also will only change shape andmove but not change size, i.e. the gingival does not become bigger orsmaller, it only changes shape.

It may be an advantage that if the model of the restoration is designedusing CAD, then it can be derived from the CAD program how much thegingiva on the teeth model should be moved in order to fit the modeledrestoration.

The method comprises manufacturing the physical model by means of threedimensional printing or milling.

In some embodiments the physical model may be manufactured using acasting mold for casting an at least partly soft mould as part of thephysical model of the set of teeth.

The casting mold may be adapted to be manufactured by means of rapidprototyping, such as 3D printing

A casting mold CAD model may be generated as an impression of at least apart of the virtual model, said casting mold CAD model therebycomprising the negative geometry of the set of teeth.

A physical model may be manufactured from a virtual model of the set ofteeth generated and modified by the method according to the presentinvention.

In some embodiments, the method comprises providing that the modelcomprises a side ejection hole through which the restoration in thephysical model can be contacted and ejected from its cavity.

The hole may be arranged in the gingival part of the model.

It may be an advantage that when providing an ejection hole in the sideon the model, then this hole is accessible from the side, which may bean advantage when e.g. mounting the model on an articulator, where theside of the model can be accessed as opposed to the bottom of the modelwhich is attached to the articulator. Therefore it may be an advantageto arrange the ejection hole on the side of the model instead of in thebottom of the model. However, a hole, e.g. an ejection hole, mayalternatively and/or additonally be arranged in the bottom of the model.

In some embodiments, the method comprises providing that the restorationcomprises a hole adapted to be arranged in continuation of the sideejection hole in the model, when the restoration is arranged in thecavity of the model.

It may be an advantage that when providing a hole in the side of themodel and a hole in the restoration, then when the two holes arealigned, i.e. arranged in contination of each other, or arranged end toend, then the restoration is arranged correctly relative to the model.

Whether the hole in the restoration and the hole the in model arealigned can be checked by means of visual inspection or by using a tooladapted to fit into the holes. Thus when the tool can move trouble-freethrough the hole in the model and into the hole in the restoration, thenthe alignment of the restoration in the model will be correct. In someembodiments, the side ejections hole is arranged such that the tool canmove the entire way through both the model and the restoration, thus thetool is inserted on one side of the model and can pass throught themodel to the other side of the model. Thus in some embodiments, the sideejection hole is arranged such that a tool can pass through a section ofthe model comprising both the restoration and the gingival part of themodel surrouding the cavity in which the restoration is arranged, suchthat the tool can be inserted on one side of the section and can passthrough the section to a side of the section arranged opposite to therestoration.

In some embodiments, the method comprises arranging the hole in themodel as a through hole passing from the surface of model to the cavityfor the restoration, and arranging the hole in the restoration as ablind hole. The through hole may be passing from the gingival part ofthe model. The hole in the restoration may be arranged as a blind holein a position corresponding to the root of the restoration.

In some embodiments, the method comprises arranging the hole in themodel as a through hole passing from the surface of model to the cavityfor the restoration, and arranging the hole in the restoration as athrough hole.

The through hole may be passing from the gingival part of the model. Thehole in the restoration may be arranged as a through hole in a positioncorresponding to the root of the restoration.

Thus the hole in the restoration may be a through hole passing theentire way through the restoration to the other side of the cavity. Inthis case the hole in the model may then pass through the entire model,i.e. passing from the surface of the model to one end of the cavityinside the model, and from the other end of the cavity through the modelto the other surface of the model. It may be an advantage to have a sideejection hole which is a through hole in both the model and therestoration, since then the positioning of the restoration in the modelcan be checked by visual inspection, which may be facilitated when thereis a free passage through the entire model and restoration.

Furthermore, it may be an advantage for the manufacturing of the modeland the restoration to produce the side ejection holes a through holes.For example, the model and restoration can be manufactured by means ofjet printing, and for example a soft support material may be arranged inthe model and the restoration at places where there should be nomaterial in the final version. When the manufacturing of the model orthe restoration has been completed, the support material will beremoved, e.g. washed away, melted away or digged away. In this case itmay be easier to remove all the support material from a hole if the holeis a through hole instead of a blind hole.

In some embodiments, the method comprises arranging the restoration inthe gingival part of the model such that the restoration is adapted tobe inserted in and removed from the gingival part of the model withoutconflicting with or being blocked by the neighbor teeth in the model.

In some embodiments, the method comprises arranging the restoration inthe model such that the insertion direction of the restorationcorresponds to the insertion direction of the real, anatomical tooth inthe set of teeth.

In some embodiments, the method comprises arranging the restoration inthe gingival part of the model such that the insertion direction of therestoration is so skew that the restoration is adapted to be inserted inand removed from the gingival part of the model without conflicting orbeing blocked by the neighbor teeth in the model.

In some embodiments, the method comprises determining an insertion pathfor the restoration. The insertion path may be according to theinsertion direction at the implant.

In some embodiments, the method comprises identifying a circumferenceline for the restoration. The circumference line may be defined as theouter circumference of the restoration when the virtual model of therestoration is viewed along the insertion direction or insertion path.When having defined an offset surface from the virtual model of therestoration, the circumference line may be defined as the outercircumference of the offset surface when the offset surface is viewedalong the insertion direction.

In some embodiments, an extrusion volume is defined by the insertiondirection and the circumference line. The extrusion volume defines thevolume through which the restoration travels when being inserted intothe gingival part of the virtual model of the set of teeth or whenremoved therefrom.

The orientation extrusion volume may have a direction which differsslightly from the insertion direction. This may be the case over somesections of the extrusion volume when the extrusion volume is defined bythe circumference line and an insertion path which in these sectionsdiffer from the insertion direction determined at the gingival part.,

In some embodiments, the method comprises providing that an implantanalog configured to be positioned e.g. in the gingival part of themodel comprises a stop surface functioning as a stop for the implantanalog when it is positioned in the gingival part, such that the implantanalog is hindered from being pushed further into the gingival part ofthe model than the correct anatomical height of the implant analogcorresponds to.

In some embodiments, the stop surface is plane and horisontal.

The stop surface may be plane and horisontal relative to the rest of themodel, and/or relative to the insetion direction of the implant analogin the gingival part etc.

It may be an advantage that the stop surface is plane and horizontalsince this may provide an optimal positioning and support of the implantanalog in the model.

In the context of the present invention, the phrase “horizontal” mayrefer to a plane which is substantially parallel to the occlusion planeof the patient's dentition.

In some embodiments, the method comprises that when the model is 3Dprinted, at least part of the stop surface is horisontal with respect tothe remainder of the model.

Thus the overall form of the stop surface may be sloping, slanting orinclined, but each single printing layer should be horisontal so thesloping surface will be made up of several small horisontal parts. Thisprovides a very good set fit.

If the model is milled instead of 3D printed, then the stop surface maynot be horisontal, but can be in any direction.

In some embodiments, the method comprises that the stop surface isarranged in a printing layer which is also present in the remainder ofthe model.

It may be an advantage because the stop surface is then level with thebottom part of the implant analog, whereby the implant analog can bepushed down exactly to the right layer in the model, whereby theposition of the implant analog in the model is anatomically correct withrespect to the height of the implant analog in the physical model.

Thus the stop layer is at a height h which is h=n×printing layerthickness.

In some embodiments, the method comprises providing that one or moreadjacent teeth in the model are adapted to be removably inserted in themodel.

An advantage is that when the adjacent or neighbor teeth can be removedfrom the model, then it may be easier for the dental technician to buildup the model of a restoration, since then there is free space aroundthese teeth, e.g. on all or some of the sides.

The physical model may be manufactured using a casting mold for castingan at least partly soft mould as part of the physical model of the setof teeth, where the casting mold is adapted to be manufactured by meansof rapid prototyping, such as 3D printing. A casting mold CAD model isgenerated as an impression of at least a part of the virtual model, saidcasting mold CAD model thereby comprising the negative geometry of theset of teeth. At least one sectioning of the casting mold CAD model maybe defined by means of at least one separation plane and/or separationspline.

Disclosed is also a computer program product comprising program codemeans for causing a data processing system to perform the method, whensaid program code means are executed on the data processing system, anda computer program product comprising a computer-readable medium havingstored there on the program code means.

According to another aspect, disclosed is also an ejection tool forejecting a restoration arranged in a physical model of a set of teeth.

In some embodiments, the ejection tool comprises an elongated componentwhich is adapted to fit into a through hole in the gingival part of themodel.

In some embodiments, the ejection tool is adapted to fit into a blindhole and/or a through hole in the restoration.

The present invention relates to different aspects including the methoddescribed above and in the following, and corresponding methods,devices, systems, uses and/or product means, each yielding one or moreof the benefits and advantages described in connection with the firstmentioned aspect, and each having one or more embodiments correspondingto the embodiments described in connection with the first mentionedaspect and/or disclosed in the appended claims.

BRIEF DESCRIPTION OF THE DRAWINGS

The above and/or additional objects, features and advantages of thepresent invention, will be further elucidated by the followingillustrative and non-limiting detailed description of embodiments of thepresent invention, with reference to the appended drawings, wherein:

FIG. 1 shows a schematic of a conflict of volumes of a virtual model ofa restoration and a gingival part of a virtual model of a set of teeth.

FIG. 2 shows an embodiment of the method according to the invention.

FIG. 3 shows an embodiment of the method according to the invention

FIG. 4 shows an example of digitally repositioning the gingival part ofthe model around a restoration.

FIG. 5 shows an embodiment of a method according to the invention,wherein collision between an extrusion volume and a teeth portion of thevirtual model of the set of teeth is avoided.

FIG. 6 describes how the virtual model of the set of teeth can begenerated and modified

FIG. 7 shows how a cover arranged in relation to a physcial model of theteeth can be used when realizing a second gingival region made of arelatively soft and compressible material.

FIG. 8 show schematic presentations of the inventive covers according tothe present invention

FIG. 9 shows an inventive implant analog.

FIGS. 10 and 11 show screen shots from an implementation of theinventoin.

In the following description, reference is made to the accompanyingfigures, which show by way of illustration how the invention may bepracticed.

In FIGS. 1, 2, 3, 5 and 7 an abutment for a dental implant is used as anillustrative example of a dental restoration. The restoration mayevidently also consist of or comprise other parts such as a crown, abridge, a removable denture, or a denture.

FIG. 1 shows a schematic of a conflict between of volumes of a virtualmodel of a restoration and a gingival part of a virtual model of a setof teeth.

In procedures relating to a dental implant and a corresponding dentalrestoration, such as the illustrated abutment, the dental technicianoften produces a physical model of the set of teeth with an implantanalog positioned in the gingival part of the physical model. In somecases, the restoration collides with the gingival part of the physicalmodel of the set of teeth such that the restoration cannot be insertedin the physical model of the set of teeth, i.e. the dental restorationcannot be positioned in the anatomical correct position in the physicalmodel of the set of teeth.

A virtual representation of this situation is illustrated in FIG. 1,where a virtual model 10 of the set of teeth shows two teeth 11, 12 andan implant 13 which in the manufactured physical model is replaced by animplant analog and a first surface 15 of which at least a part relatesto the emergence profile of the gingiva. A virtual model of therestoration 14 is inserted in the virtual model 10 of the set of teethin its anatomical correct position. As seen in the figure, there is anoverlap 16 between the volumes of the virtual model of the restoration14 and the gingival part of the virtual model 10 of the set of teeth.For a restoration and a physical model of the set of teeth the conflictrepresented by the virtual overlap 16 prevents the insertion of therestoration.

The virtual model of the set of teeth 10 may be generated from one ormore three dimensional representations of the set of teeth provided bye.g. scanning an impression of the set of teeth or by direct intra-oralscanning using a handheld scanner, such as the TRIOS™ intraoral-scanner.

The scanning may provide a three dimensional representations in the formof a point cloud which can be converted to a virtual model of the set ofteeth by e.g. triangulation.

FIG. 2 shows an embodiment of a method according to the invention,wherein the virtual model of the set of teeth 10 is modified byvirtually removing a portion of the gingival part, such that space for asofter material is provided in a physical model manufactured from themodified virtual model of the set of teeth.

In FIG. 2 a, the virtual model 10 of the set of teeth shows two teeth11, 12 and an implant analog 13. The virtual model of the restoration 14is virtually inserted such that it is arranged in its anatomical correctposition. The overlap 16 prevents the insertion of the restoration in aphysical model corresponding to the virtual model 10 of the set of teethas described above in relation to FIG. 1.

The boundaries of a section which is to be modified can be identifiedusing a first 3D spline 151 and a second 3D spline 152. The 3D splinescan be defined manually be an operator using e.g. a pointing tool, suchas a computer mouse, and a computer screen onto which the virtual model10 of the set of teeth is visualized. The boundaries can also be derivedautomatically using computer implemented algorithms configured fordetermining e.g. a preparation line of an abutment.

In FIG. 2 b, the gingival part of the virtual model 10 of the set ofteeth has been modified such that the section now is shaped according toa second surface 17, where the second surface 17 is such that theoverlap 16 seen in FIG. 2 a is avoided. This corresponds to havingvirtually removed a portion of the gingival part of the virtual model 10of the set of teeth, such that it changes from having a shape accordingto the first surface 15 to a shape according to the second surface 17 inthe modified virtual model 100 of the set of teeth.

In the figure, the second surface 17 has a smooth transition from thefirst to the second 3D spline. The virtually removed portion may be alsodefined by extending a cylinder to a horizontal plane spanned by thesecond 3D spline 152, where the cross section of the cylinder is shapedaccording to the first 3D spline 151.

Based on the modified virtual model 100 of the set of teeth, a thirdsurface 18 may be determined digitally e.g. by defining third and fourth3D splines on the modified virtual model 100. The third and fourth 3Dsplines are then connected to define the third surface 18. The 3D thirdand fourth splines may be identical to the first and second 3D splines151, 152 used for identifying the boundaries of the portion which isvirtually removed to make space for the second gingival region 19. I.e.the region 19 is defined defined by the second surface 17 and the thirdsurface 18 as illustrated in FIG. 2 c. In a physical model 101manufactured from the modified virtual model 100 of the set of teeth arelatively soft, compressible material may be provided in the secondgingiva region 19. The softer material portion can be manufactured by 3Dprinting and then arranged at the physical model of the set of teeth101.

FIG. 2 d shows an abutment 140 inserted into the physical model of theset of teeth 101 with a soft, compressible material in the secondgingival region 190.

When the second gingival region 19 is shaped according to the thirdsurface 18, there is still an overlap between the volumes of the virtualmodel of the dental restoration and the gingival part of the modifiedvirtual model 100 of the set of teeth (now having a surface according tothe third surface 18), However, when the second material is sufficientlysoft and compressible, the second gingival region 190 is deformed whenthe physical restoration 140 is inserted in the physical model of theset of teeth 100 thus allowing it to be arranged in its anatomicallycorrect position as illustrated in FIG. 2 d.

FIG. 3 shows an embodiment of a method according to the invention,wherein the virtual model 10 of the set of teeth is modified byvirtually removing a portion of the gingival part.

In FIG. 3 a, the virtual model of the set of teeth 10 shows two teeth11, 12 and an implant/implant analog 13. The virtual model of therestoration 14 is virtually inserted in its anatomical correct position.The virtual overlap 16 prevents the insertion of the restoration into aphysical model corresponding to the virtual model 10 of the set of teethas described above in relation to FIG. 1.

In FIG. 3 b, a portion of the gingiva in the region configured forinsertion of the restoration has been virtually removed such that thegingiva in the region now defines a second surface 17. The virtualoverlap 16 seen in FIG. 3 a is now avoided and there is space for thevirtual model of the restoration 14 at its anatomically correctposition. The second surface 17 can be defined by offsetting the surfaceof the virtual model of the restoration 14, such as by providing auniform offset as seen in the figure.

Due to the undercut shape of the second surface 17, it may however notbe possible to insert the restoration in a physical model manufacturedfrom the virtual model 10 of the set of teeth illustrated in FIG. 3 b.

In FIGS. 3 c and 3 d, the insertion direction 20 for the restoration istaken into account. The insertion direction can be based on theorientation and position of the implant/implant analog 13 in the virtualmodel 10 of the set of teeth. A circumference line 21 is defined at theouter circumference of the second surface 17 when this is viewed alongthe insertion direction 20. The circumference line 21 can be determinedusing computer implemented algorithms.

A cylinder enclosing an extrusion volume can then be defined by thesurface generated by translating the circumference line 21 along theinsertion path 20 away from the implant analog 13. When the extrusionvolume is subtracted from the virtual model 10 of the set of teeth acorrected second surface 171 is provided. Above the circumference line,the corrected second surface 171 differs from the second surface 17 dueto said correction.

In a physical model manufactured from the modified virtual model 100 ofthe set of teeth, the correction with respect to the insertion directionprovides that the physical model has no undercuts when viewed along theinsertion direction of the restoration, such that the restoration can beinserted into this physical model.

FIG. 4 shows an example of digitally repositioning the the gingivaaround a restoration.

FIG. 4 a) shows the virtual model 401 of the set of teeth before aportion of the gingiva 425 has been digitally repositioned.

FIG. 4 b) shows the virtual model 401 of the set of teeth after aportion of the gingiva 425 has been digitally repositioned. After thegingival part 425 has been moved, the virtual model 401 of the set ofteeth can be manufactured.

When a tooth is prepared in the mouth of the patient, so much of thetooth may be grinded away, that the soft, compliant gingival tissuearound the prepared tooth will adjoin or follow or collaps to follow thenew reduced shape of the prepared tooth instead of remaining in theoriginal shape following the original non-prepared tooth. When digitallyrepositioning, removing, or relocating the gingival part 425 of thevirtual model 401 of the set of teeth around the restoration 405 thenthere is space for a restoration 426 and veneering.

The gingival part 425 of the virtual model 401 of the set of teeth ismoved outwards relative to the restoration 405, i.e. away from therestoration, and it is moved without changing the size of gingival part425, only the shape of the gingival part 425 is changed.

If the virtual model of the restoration 426 is designed using CAD, itcan be derived from the CAD program how much the gingival part 425 onthe virtual model 401 of the set of teeth should be moved in order tofit the modeled virtual model of the restoration 426.

FIG. 5 shows an embodiment of a method according to the invention,wherein collision between an extrusion volume and a teeth portion of thevirtual model of the set of teeth is avoided

In FIG. 5, the insertion direction 20 for the restoration is taken intoaccount when modifying the gingival part of the virtual model of the setof teeth. A circumference line 21 line is defined at a second surface 17defined by an offset of the virtual model of the restoration 14. Theinsertion direction 20 is determined from the orientation and positionof the implant analog 13 in the virtual model of the set of teeth. Inthe example of FIG. 5, the insertion direction 20 is tilted relative tothe longitudinal axis of the teeth 11, 12. This causes the extrusionvolume (defined by the insertion direction 20 and the circumference line21) to collide with a tooth portion 22 of the virtual model of the setof teeth. The restoration hence cannot be inserted along the insertiondirection 20 into a physical model manufactured from the virtual modelof the set of teeth illustrated in FIG. 5 a. However, at some distancefrom the implant region, the restoration may follow a different pathsuch that the collision may be avoided while the path still is alignedwith the insertion direction 20 at the implant analog. Such an insertionpath 23 is illustrated in FIG. 5 b.

The insertion path 23 may be derived by combining a first extrusionvolume defined by the circumference line 21 and the insertion direction20 at the implant analog and a second extrusion volume defined by anupper circumference line and an upper insertion direction, where theupper circumference line may be defined with the corresponding part ofthe restoration at the incisal edge of the neighboring teeth.

FIG. 6 describes how the virtual model of the set of teeth can begenerated and modified to provide that the virtual model of therestoration can be virtually inserted with no overlap between the volumeof the restoration and the volume of the gingival part of the virtualmodel of the set of teeth.

The starting point of this part of the procedure is where an implant isplaced in the patient's jaw bone and an operator wishes to design avirtual model of the set of teeth such that a physical modelmanufactured from the virtual model of the set of teeth allows anabutment to be inserted. When the abutment can be inserted in thephysical modelt of the teeth a crown designed for the patient can bearranged at the abutment and the aestical and functional properties ofthe designed crown (and abutment) can be evaluated.

A second three dimensional representation of the set of teeth isobtained by intra-oral scanning in 601 and a second virtual model of theset of teeth is generated. A sealing unit may be arranged in the implantduring this scanning, but this sealing unit does not cover the emergenceprofile of the gingiva in the region. A second virtual model of the setof teeth which includes the emergence line of the gingival is thengenerated.

A scan body is then arranged in the implant and a first threedimensional representation of the set of teeth is obtained in a firstscanning 602. The first and the second scanning use a common referencesystem such that the data of the first three dimensional representationcan be directly transferred to the second virtual model of the set ofteeth. Data relating to the parts of the set of teeth surrounding theregion in which the implant is situated were already obtained in thesecond scanning so in the first scanning only the region of the implantis scanned

With the data from the first scanning transferred to the second virtualmodel of the set of teeth, this virtual model now comprises both datarelating to the emergence profile and to the scan body.

A CAD model of the scan body is then aligned 603 with the scan bodyportion of this second virtual model. Thereby the postion andorientation of the implant can be derived and a virtual model with theimplant postion and orientation and with the emergence profile isgenerated 604.

The order at which these two scans are obtained is not important, suchthat the first scanning can be performed before the second. If the scanwith the scan body is made initially, the scan body is removed from theimplant before the scanning without the scan body is made. The emergenceprofile can then be extracted from the second virtual model (or directlyfrom the second three dimensional representation of the set of teeth)and transferred to the first virtual model, such that a virtual model ofthe set of teeth is generated.

In both cases, the generated virtual model of the set of teeth comprisesa gingival part of the set of teeth, said gingival part comprising aregion configured for insertion of a restoration with both the emergenceprofile of the gingival and the implant position and orientation.

The first and second scanning can also be of impressions of thepatient's set of teeth using a scan flag to indicate the position andorientation of the implant.

The antagonist may also be scanned such that the occlusion of therestoration can be evaluated and taken into account when modelling e.g acrown for the implant.

The insertion direction of the restoration is determined in step 605.

A virtual model of the restoration for the set of teeth, such as avirtual model of an abutment, is obtained in step 606 and virtuallyaligned with the generated virtual model of the set of teeth. Thevirtual model of the restoration may be designed to the patient's set ofteeth by e.g. defining the margin line using a 3D spline.

When a final design of the restoration is obtained, it is subtractedfrom the virtual model of the set of teeth, or a volume corresponding toan offset surface of the virtual model of the restoration is subtractedfrom the virtual model of the set of teeth. An extrusion volume can thenbe determined based on a circumference line of the restoration and theinsertion direction. The extrusion volume is then subtracted from thevirtual model of the set of teeth such that the modified virtual modelof the set of teeth is privoded 607.

The generated and modified virtual model of the set of teeth is thensuch that the virtual model of the dental restoration can be virtuallyinserted in said region with no overlap between the volume of therestoration and the volume of the gingival part. A result of thisprocedure is that a restoration manufactured from the virtual model ofthe of the restoration, such as an abutment, can be inserted into aphysical model of the set of teeth manufactured from said modifiedvirtual model of the set of teeth.

FIG. 7 shows how a cover arranged in relation to a physcial model of theteeth can be used when realizing a second gingival region made of arelatively soft and compressible material.

The cover 200 comprises a top portion 201 having a model facing surface202 and a through channel 203. Further the cover 200 has an implantengaging portion 204, which is configured to fit into the implant analog130 of a physical model of a set of teeth 101. When the cover 200 isarranged in relation to the implant analog 130, the model facing surface202 encloses a volume 205 in collaboration with an opposing surface 206of the physical model. The through channel 203 provides a liquidconnection to the enclosed volume 205, such that the enclosed volume canbe filled with a second gingival material via the though channel 203.When the enclosed volume 205 is filled with the second gingivalmaterial, the second gingival material is shaped according to the modelfacing surface 202.

When the cover is removed the second gingival region 206 (correspondingto the enclosed volume 205) filled with the second gingival material hasbeen formed at the physical model of the set of teeth 101 as illustratedin FIG. 7 b. The surface 207 of the second gingival region 206 is shapedaccording to the model facing surface 202 of the cover.

The surface 208 of the physical model 101 of the set of teeth can bedefined manually by grinding.

If the second gingival material is sufficiently soft and compressible,the dental restoration, here examplified by the abutment 140, can beinserted into the implant analog 130 be appliying a pressure whichdeforms the second gingival material enough to allow the insertion asillustrated in FIG. 7 c. The second material can for example be a dentalsilicone.

In some embodiments, model facing surface of the cover is shapedaccording to the surface of a known abutment. I.e. different covers canbe manufactured based on the surfaces of known abutments, such that thesecond gingival section formed by one cover is shaped according to acorresponding abutment. The requirements to the compressability of thesecond gingival material is then less strict and a larger variety ofmaterials can be used.

FIG. 8 show schematic presentations of the inventive covers according tothe present invention.

FIG. 8 a. shows an example of a cover 200 with an implant engagingportion 204, and a top portion with a model facing surface 202 and athrough passage. When the cover is arranged relative to a physical modelof a set of teeth, the implant engaging portion 204 is placed in theimplant analog and the lower part 209 of the top portion rests on agingical part of the physical model. The length of the implant engagingportion 204 is adapted to provide that its positoin in the implantanalog can be adjusted such that the lower part 209 encloses a volume incollaboration with the physical model.

FIG. 8 b. shows an example of a cover 200 where the model facing surface202 is shaped according to the surface of a known abutment 14. Theportion of the model facing surface 202 nearest to the implant engagingportion 204 is shaped according to the corresponding surface of theabutment 14 or by a well defined offset of the corresponding surface.When the second gingival region is formed using this cover, thecorresponding abutment will fitt into the physical model even if thesecond gingival material is relatively incompressible.

FIG. 9 shows an example of an implant analog configured to be arrangedin the gingival part of a physical model of a set of teeth.

The figure shows a side view of an implant analog 501 arranged in a holedefined in the gingival part 503 of the physical model. A central 502volume entends along the longitudinal diretction of the implant analogfrom a crown end towards its distal end 505. At the distal end 505, astop surface 506 is configured to have a reduced cross sectional areasuch that room is left for rounded corners 507 of the wall of the holeand potentially for excess material that was not removed from the hole.The rounded corners may be generated when the drill used to defined thehole has a rounded tip. The cross sectional shape 504 of the implantanalog illustrates one way to ensure that the implant analog can only bearranged with its correct orientation relative to the gingival part ofthe physical model.

A height inspection groove 508 is defined in the implant analog 501 toallow for visual or a contact based inspection of whether the implantanalog 501 is arranged in the correct postion in the gingival part ofthe physical model. A window or a through hole (not illustatrated in theFigure) may be provided in the ginival part of the model to allow visualand/or physical contact to the inplant analog from the outside of themodel.

The window or through hole may be provided in the virtual modelling ofthe gingival part of a set of teeth such that it is formed directly withthe manufature of the physical model or after the manufacturing of thephysical model.

FIG. 10 show a screen shot from an implementation of the inventoin

A virtual model 1080 of the set of teeth with the implant 1081 positionand orientation has been generated using the method of the invention.Also seen in the screen shot is the restoration 1082 (an abutment) whichis to be designed based on the set of teeth.

FIG. 6 described some embodiments of the metod for generation such a thevirtual model of the set of teeth.

FIG. 11 show screen shots from an implementation of the invention.

The virtual model of the set of teeth 1180 has now been equiped with abase and connectors for e.g. arranging the manufactured physical modelin an articulator. In FIG. 11 a the emergence profile 1190 is seen inthe region configured for the restoration. In FIG. 11 b, the virtualmodel of the set of teeth has been modified to provide that there is nooverlap between the virtual model of the restoration (the abutment) andthe virtual of the set of teeth, such that the manufactured restorationcan be inserted in a physical model of the set of teeth manufacturedfrom said generted and modified virtual model of the set of teeth.

Although some embodiments have been described and shown in detail, theinvention is not restricted to them, but may also be embodied in otherways within the scope of the subject matter defined in the followingclaims. In particular, it is to be understood that other embodiments maybe utilised and structural and functional modifications may be madewithout departing from the scope of the present invention.

In device claims enumerating several means, several of these means canbe embodied by one and the same item of hardware. The mere fact thatcertain measures are recited in mutually different dependent claims ordescribed in different embodiments does not indicate that a combinationof these measures cannot be used to advantage.

It should be emphasized that the term “comprises/comprising” when usedin this specification is taken to specify the presence of statedfeatures, integers, steps or components but does not preclude thepresence or addition of one or more other features, integers, steps,components or groups thereof.

It should be emphasized that the term “according to any of the precedingclaims” may be interpreted as meaning “according to any one or more ofthe preceding claims”, such that the limitations of one or severaldependent claims may be read into an independent claim.

The features of the method described above and in the following may beimplemented in software and carried out on a data processing system orother processing means caused by the execution of computer-executableinstructions. The instructions may be program code means loaded in amemory, such as a RAM, from a storage medium or from another computervia a computer network. Alternatively, the described features may beimplemented by hardwired circuitry instead of software or in combinationwith software.

Items:

1. A method of generating and modifying a virtual model of a set ofteeth, said set of teeth comprising a region configured for insertion ofa restoration, the region being located in a gingival part of the set ofteeth, where the method comprises:

-   obtaining at least one three dimensional representation of the set    of teeth;-   generating a virtual model of the set of teeth from said three    dimensional representation, where the virtual model of the set of    teeth comprises a gingival part, said gingival part comprising a    virtual region corresponding to said region configured for insertion    of a restoration and at least part of the gingiva surrounding said    region;-   obtaining a virtual model of said restoration; and-   modifying the gingival part of the virtual model of the set of teeth    such that the virtual model of the restoration can be virtually    inserted into said virtual region with no overlap between the volume    of said virtual model of the restoration and the volume of said    gingival part of the virtual model of the set of teeth.

2. The method according to item 1, wherein a first three dimensionalrepresentation of the set of teeth is obtained by scanning the patient'sset of teeth with a scan body arranged in said implant region.

3. The method according to item 1 or 2, where said virtual model of theset of teeth is generated at least in part from said first threedimensional representation.

4. The method according to any of the preceding items, wherein a secondthree dimensional representation of the set of teeth is obtained byscanning the patient's set of teeth with the emergence profile at saidimplant region being visible.

5. The method according to any of the preceding items, where saidvirtual model of the set of teeth is generated at least in part fromsaid second three dimensional representation.

6. The method according to any of the preceding items, wherein one ofsaid first or second three dimensional representation of the set ofteeth is obtained by scanning a relatively larger section of thepatient's set of teeth, and the other of said first or second threedimensional representation then is obtained by scanning a relativelysmaller section around the implant region.

7. The method according to any of the preceding items, wherein themethod comprises generating a first virtual model of the set of teethfrom said first three dimensional representation' of the set of teeth.

8. The method according to any of the preceding items, wherein themethod comprises generating a second virtual model of the set of teethfrom said second three dimensional representation of the set of teeth.

9. The method according to any of the preceding items, wherein themethod comprises combining the first and second virtual models of theset of teeth to generate said virtual model of the set of teeth.

10. The method according to any of the preceding items, wherein avirtual model of the scan body is provided and virtually aligned withthe first virtual model of the set of teeth to determine the orientationand position of the implant.

11. The method according to any of the preceding items, where therestoration is designed based on the virtual model of the set of teeth.

12. The method according to any of the preceding items, where therestoration is a pre-manufactured restoration such as a pre-manufacturedabutment.

13. The method according to any of the preceding items, where modifiedvirtual model of the set of teeth is for manufacturing a physical modelof the set of teeth.

14. The method according to any of the preceding items, where at least asub-gingival part of the virtual model of the restoration is configuredto have the shape of an anatomically correct restoration.

15. The method according to any of the preceding items, where thegingival part of the generated virtual model of the set of teethdirectly provides that the volume of the restoration and the volume ofthe gingival part do not overlap.

16. The method according to any of the preceding items, where thevirtual model of the set of teeth is generated in one step and where thegingival part of the virtual model subsequently is modified to providethat the volume of the restoration and the volume of the gingival partdo not overlap.

17. The method according to any of the preceding items, wherein thegingival part of the virtual model of the set of teeth is modified toprovide that the adjoining surfaces of the virtual model of therestoration and the gingival part of the virtual model of the set ofteeth follows each other.

18. The method according to any of the preceding items, wherein anoffset is provided between the adjoining surfaces of the virtual modelof the restoration and the gingival part of the virtual model of the setof teeth.

19. The method according to any of the preceding items, wherein themethod comprises determining in insertion path for the restoration.

20. The method according to any of the preceding items, wherein theinsertion path is according to the insertion direction at the implant.

21. The method according to any of the preceding items, wherein themethod comprises identifying a circumference line for the restoration.

22. The method according to any of the preceding items, wherein thecircumference line is defined as the outer circumference of therestoration when the virtual model of the restoration is viewed alongthe insertion direction.

23. The method according to any of the preceding items, wherein thecircumference line is defined as the outer circumference of the offsetsurface when the offset surface is viewed along the insertion direction.

24. The method according to any of the preceding items, wherein anextrusion volume is defined by the insertion direction and thecircumference line.

25. The method according to any of the preceding items, wherein anextrusion volume is defined by the insertion path and the circumferenceline.

26. The method according to any of the preceding items, whereinmodifying the gingival part of the virtual model of the set of teethcomprises digitally cutting a portion of the gingiva away such that thevolume of the restoration and the volume of the gingiva do not overlap.

27. A method of generating and modifying a virtual model of a set ofteeth for manufacturing a physical model of the set of teeth, where themethod comprises:

-   obtaining a three dimensional representation of the set of teeth;-   generating a virtual model of the set of teeth from said three    dimensional representation, the virtual model of the set of teeth    comprising a gingival part comprising a gingiva; and-   modifying the gingival part to enable an insertion of a restoration    in a region of the virtual model configured for insertion of a    restoration.

28. The method according to any of the preceding items, whereinmodifying the gingival part comprises modifying the gingival part of thevirtual model generated from the three dimensional representation.

29. The method according to any of the preceding items, whereinmodifying the gingival part comprises configuring the material of thegingival part at the restoration to be sufficiently soft such that arestoration may deform the gingival part.

30. The method according to any of the preceding items, whereinmodifying the gingival part comprises virtually removing a portion ofsaid gingival part in the region configured for insertion of arestoration.

31. The method according to any of the previous items, wherein themethod comprises virtually adding material to the gingival part of thevirtual model in the region configured for insertion of a restoration.

32. The method according to any of the preceding items, wherein themethod comprises digitally repositioning the gingival part of the modelaround the restoration, before manufacturing the model.

33. The method according to any of the preceding items, whereindigitally repositioning the gingival part of the virtual model of theset of teeth comprises digitally moving gingiva away from the virtualmodel of the restoration.

34. The method according to any of the previous items, wherein thegingival part of the virtual model of the set of teeth defines a firstsurface at the region configured for insertion of a restoration.

35. The method according to any of the preceding items, wherein thefirst surface follows at least a section of said emergence profile.

36. The method according to any of the preceding items, whereinmodifying the virtual model of the set of teeth comprises replacing saidfirst surface by a second surface, where said second surface is shapedsuch that the virtual model of said restoration can be virtuallyarranged in said virtual implant region with no overlap with themodified virtual model of the set of teeth.

37. The method according to any of the previous items, wherein thegingival part of the virtual model of the set of teeth after the virtualremoval of a portion of the gingiva defines the second surface at theregion configured for insertion of a restoration.

38. The method according to any of the preceding items, wherein at leasta section of said second surface is defined by offsetting part of thesurface of the virtual model of the restoration.

39. The method according to any of the preceding items, wherein themethod comprises subtracting the virtual model of the restoration or thevolume enclosed by the offset surface from the virtual model of the setof teeth.

40. The method according to any of the previous items, wherein thegingival part of the virtual model of the set of teeth after virtuallyadding material to the gingiva defines a third surface at the regionconfigured for insertion of a restoration.

41. The method according to any of the previous items, wherein thegingival part of the virtual model of the set of teeth is divided into afirst and a second gingival region by the second surface

42. The method according to any of the previous items, where said secondgingival region is arranged between the second surface and the thirdsurface, the second surface forming an interface between the first andthe second gingival region.

43. The method according to any of the previous items, wherein saidthird surface is substantially identical to said first surface.

44. The method according to any of the previous items, wherein saidfirst gingival region is configured to be manufactured in a firstmaterial in a physical model manufactured from the virtual model.

45. The method according to any of the previous items, wherein saidsecond gingival region is configured to be manufactured in a secondmaterial in a physical model manufactured from the virtual model.

46. The method according to any of the preceding items, wherein saidsecond material is configured to be softer than said first material atambient conditions.

47. The method according to any of the preceding items, wherein thevirtual representation of the set of teeth is provided by scanning theset of teeth, such as by scanning the set of teeth by means of anintra-oral scanner or by scanning an impression of the set of teeth.

48. The method according to any of the preceding items, wherein therestoration comprises a full restoration or a part of a restoration,such as an abutment or a crown arranged on said abutment, an implantbar, or in principle any other indication used in relation to dentalrestorations.

49. The method according to any of the preceding items, whereinmodifying the gingival part of the virtual model of the set of teethcomprises digitally cutting a portion of the gingiva away such that thevolume of the restoration and the volume of the gingival part do notoverlap.

50. The method according to any of the preceding items, wherein saidsecond material is configured to be comprised in a removable unit in aphysical model manufactured from the virtual model.

51. The method according to any of the preceding items, wherein theaddition of material to the gingival part of the model comprisesgenerating a gingiva mask.

52. The method according to any of the preceding items, wherein thegingival part after being configured to enable the correct positioningof a restoration is configured to follow the adjoining surface of therestoration.

53. The method according to any of the preceding items, wherein a voidis provided between the adjoining surfaces of the restoration and thegingival part of the model.

54. The method according to any of items 51 to 53, wherein said gingivamask comprises a first retention structure configured to mate with asecond retention structure arranged on the gingival part of the model,such that the gingiva mask is arranged anatomically correct when saidfirst and second retention structures mate.

55. The method according to any of the preceding items, wherein thegingival part of the model comprises an undercut region, in which saidsecond gingival region is partly confined.

56. The method according to any of items 28 to 33, wherein the methodcomprises configuring the gingiva mask to comprise an opening, where theopening is configured to allow a restoration to access the gingival partarranged below the gingiva mask.

57. The method according to any of the preceding items, wherein avirtual hole is provided in said gingival part of the virtual model ofthe set of teeth, where said virtual hole is such that a correspondinghole in the physical model of the set of teeth is configured to matewith a part of said restoration configured to fit into the gingival partof the physical model of the set of teeth.

58: The method according to item 57, wherein said virtual hole isconfigured to allow an implant analog to be inserted manually in thecorresponding hole of the physical model of the set of teeth.

59. The method according to item 57 or 58, wherein said virtual holeand/or said implant analog is configured such that said the implantanalog can be inserted only in the correct anatomical position andorientation in the gingival part of the model.

60. The method according to any of items 57 to 59, wherein said implantanalog is configured to have a shape with reduced cross sectionalrotation symmetry, such as an N-fold symmetry, wherein N is an integernumber below 25

61. The method according to any of the preceding items, wherein severalsteps in method are computer implemented.

62. The method according to any of the preceding items, wherein thegingival part of the virtual model of the set of teeth, is configured toprovide that a corresponding ejection hole in the physical model of theset of teeth is in fluid connection with said hole such that arestoration or an implant analog can be accessed through said ejectionhole to be ejected from the gingival part of the physical model of theset of teeth.

63. The method according to any of the preceding items, wherein theimplant analog is configured to comprise a stop section with a smallercross sectional area at its distal end, said stop section preferablybeing arranged centrally around the longitudinal axis of the implantanalog.

64. The method according to any of the preceding items, wherein thevirtual hole defined in the gingival part of the virtual model of theset of teeth is configured to provide that the corresponding hole in thephysical model of the set of teeth has rounded edges at its distal end.

65. The method according to any of the preceding items, wherein themethod comprises providing a cover which in cooperation with the firstgingival region is configured to enclose the second gingival region.

66. The method according to item 65, wherein the cover comprises anopening configured to allow the injection of said second material intosaid second gingival region in a physical model manufactured from thevirtual model of the teeth.

67. The method according to item 65 or 66, wherein a surface of thecover facing said second gingival region is shaped as said thirdsurface.

68. The method according to any of the preceding items, wherein themethod comprises designing and configuring the model to be manufacturedby means of a specific manufacturing process.

69. A method of generating a virtual model of a set of teeth formanufacturing a physical model of the set of teeth, where the methodcomprises:

-   obtaining a virtual model of the set of teeth, the model comprising    a gingival part comprising a gingiva; and-   obtaining a virtual model of a restoration configured to be arranged    in its anatomical correct position relative to said gingival part of    the model;

where the surface of the gingiva defines a first surface at saidrestoration; and

-   modifying the gingiva at said restoration such that the surface of    the modifying gingiva defines a second surface at said restoration,    wherein the second surface is configured to avoid an overlap between    the volume of the restoration and the volume of the gingival part of    the model.

70. A method of adjusting a virtual model of a set of teeth, where thevirtual model of the set of teeth is for manufacturing a physical modelof the set of teeth, where the method comprises:

-   obtaining a pre-adjustment configuration of a virtual model of the    set of teeth, the virtual model of the set of teeth comprising a    gingival part; and-   obtaining a virtual model of a restoration configured to be arranged    in its anatomical correct position relative to said gingival part of    the model,

where the volume of the gingival part of the virtual model of the set ofteeth and the volume of the virtual model of the restoration overlapswhen the restoration is arranged in the anatomical correct position; and

-   adjusting a portion of the gingival part of the virtual model of the    set of teeth arranged at said restoration providing a    post-adjustment configuration of the virtual model of the set of    teeth, in which post-adjustment configuration the gingival part of    the model is configured to avoid overlap between the volume of the    virtual model of the restoration and the volume of the gingival part    of the virtual model of the set of teeth.

71. The method according to item 70, wherein adjusting of the gingivalpart comprises configuring the shape of the gingival part such that theoverlap between the volumes is avoided.

72. The method according to item 71 or 72, wherein the method comprisesconfiguring the material of the gingiva at the restoration to besufficiently soft such that a restoration may deform the gingival part.

73. A method of generating a physical model of a set of teeth, where themethod comprises:

-   obtaining at least one three dimensional representation of the set    of teeth;-   generating and modifying a virtual model of the set of teeth from    said at least one three dimensional representation, the virtual    model of the set of teeth comprising a gingival part; and-   modifying the gingival part to enable insertion of a restoration in    a region of the virtual model of the set of teeth configured for    insertion of a restoration.-   manufacturing said physical model from said virtual model of the set    of teeth.

74. The method according to any of the preceding items, wherein themethod comprises manufacturing the physical model by means of threedimensional printing or milling.

75. The method according to item 73 or 74, wherein the physical modelmay be manufactured using a casting mold for casting an at least partlysoft mould as part of the physical model of the set of teeth.

76. The method according to item 75, wherein a casting mold CAD model isgenerated as an impression of at least a part of the virtual model, saidcasting mold CAD model thereby comprising the negative geometry of theset of teeth.

77. The method according to any of items 73 to 76, wherein said secondmaterial is softer and more compressible than said first material atambient conditions.

78. A physical model of a set of teeth, wherein the physical model ismanufactured from a virtual model of the set of teeth generated andmodified by the method according to any of items 1-77.

79. An ejection tool for ejecting a restoration according to any of thepreceding items, when the restoration is arranged in a physical model ofa set of teeth according to any of the preceding items.

80. The ejection tool according to item 79 comprising an elongatedcomponent which is adapted to fit into a through hole in the gingivalpart of the model.

81. The ejection tool according to item 79 or 80, comprising anelongated component which is adapted to fit into a blind hole and/or athrough hole in the restoration.

1-51. (canceled)
 52. A method of generating and modifying a virtualmodel of a set of teeth, said set of teeth comprising a regionconfigured for insertion of a restoration, the region being located in agingival part of the set of teeth, the method comprises: obtaining atleast one three dimensional representation of the set of teeth;generating a virtual model of the set of teeth from said threedimensional representation, where the virtual model of the set of teethcomprises a gingival part, said gingival part comprising a virtualregion corresponding to said region configured for insertion of arestoration and at least part of the gingiva surrounding said region;obtaining a virtual model of said restoration; and modifying thegingival part of the virtual model of the set of teeth such that thevirtual model of the restoration can be virtually inserted into saidvirtual region with no overlap between the volume of said virtual modelof the restoration and the volume of said gingival part of the virtualmodel of the set of teeth.
 53. The method according to claim 52, whereinmodifying the gingival part of the virtual model of the set of teethcomprises digitally cutting a portion of the gingiva away such that thevolume of the restoration and the volume of the gingiva do not overlap.54. The method according to claim 52, wherein the method comprisessubtracting the virtual model of the restoration or the volume enclosedby an offset surface from the virtual model of the set of teeth.
 55. Themethod according to claim 54, wherein an offset is provided between theadjoining surfaces of the virtual model of the restoration and thegingival part of the virtual model of the set of teeth.
 56. The methodaccording to claim 52, wherein the gingival part of the virtual model ofthe set of teeth defines a first surface at the region configured forinsertion of a restoration, and wherein modifying the virtual model ofthe set of teeth comprises replacing said first surface by a secondsurface, where said second surface is shaped such that the virtual modelof said restoration can be virtually arranged in said virtual implantregion with no overlap with the modified virtual model of the set ofteeth.
 57. The method according to claim 56, wherein at least a sectionof said second surface is defined by offsetting part of the surface ofthe virtual model of the restoration.
 58. The method according to claim52, wherein the method comprises determining an insertion path for therestoration.
 59. The method according to claim 52, wherein the methodcomprises identifying a circumference line for the restoration.
 60. Themethod according to claim 59, wherein an extrusion volume is defined bythe insertion path and the circumference line, and wherein modifying thegingival part of the virtual model comprises subtracting the extrusionvolume from the virtual model.
 61. The method according to claim 52,wherein the gingival part of the virtual model of the set of teeth aftervirtually adding material to the gingiva defines a third surface at theregion configured for insertion of a restoration, where the gingivalpart of the virtual model of the set of teeth is divided into a firstand a second gingival region by the second surface with the secondgingival region arranged between the second surface and the thirdsurface, the second surface forming an interface between the first andthe second gingival region.
 62. The method according to claim 52,wherein a first three dimensional representation of the set of teeth isobtained by scanning the patient's set of teeth with a scan bodyarranged in said implant region.
 63. The method according to claim 62,where said virtual model of the set of teeth is generated at least inpart from said first three dimensional representation.
 64. The methodaccording to claim 62, wherein a second three dimensional representationof the set of teeth is obtained by scanning the patient's set of teethwith the emergence profile at said implant region being visible.
 65. Themethod according to claim 64, where said virtual model of the set ofteeth is generated at least in part from said second three dimensionalrepresentation.
 66. The method according to claim 62, wherein the methodcomprises generating a first virtual model of the set of teeth from saidfirst three dimensional representation of the set of teeth.
 67. Themethod according to claim 66, wherein the method comprises generating asecond virtual model of the set of teeth from said second threedimensional representation of the set of teeth, and combining the firstand second virtual models of the set of teeth to generate said virtualmodel of the set of teeth.
 68. The method according to claim 66, whereina virtual model of the scan body is provided and virtually aligned withthe first virtual model of the set of teeth to determine the orientationand position of the implant.
 69. The method according to claim 52,wherein the method comprises digitally repositioning the gingival partof the model around the restoration.
 70. The method according to claim69, wherein digitally repositioning the gingival part of the virtualmodel of the set of teeth comprises digitally moving gingiva away fromthe virtual model of the restoration.
 71. A method of generating aphysical model of a set of teeth, where the method comprises: obtainingat least one three dimensional representation of the set of teeth;generating and modifying a virtual model of the set of teeth from saidat least one three dimensional representation, the virtual model of theset of teeth comprising a gingival part; and modifying the gingival partto enable insertion of a restoration in a region of the virtual model ofthe set of teeth configured for insertion of a restoration.manufacturing said physical model from said virtual model of the set ofteeth.